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Disc bulge L4/L5 - Been doing Mckenzie method, Nerve flossing, what's next?!

bigtravbbigtrav Posts: 1
edited 06/23/2015 - 2:19 PM in Lower Back Pain
I am 28 and have been in pain for 11 months, but only got my MRI 5 months ago.

The primary pain that bothers me is when I do any flexion. My lower back feels extremely tight. This tightness is the entire lower back, a very broad area. The pain/tightness is worse after any activity. I am trying to play professional basketball, but have not been training due to my injury.

I also have pain if I hyperextend. This is a sharp pain in the lower right back. I don’t feel this often (as we don't hyperextend in our day to day lives).

I also sometimes feel a tiny pinch in my right buttocks, but it’s minimal.

I have been seeing a physiotherapist who my sports medicine doctor sent me to. The physiotherapist gave me:

1. The Mckenzie method (hyperextension exercises) (3 times/day)
2. Core strengthening (a lot of glute strengthening)
3. Nerve Flossing (3 times/day)

The nerve flossing works like a miracle, but it’s only short term. I can bend with ease after I nerve floss, not a deep bend, but a semi bend. It hurts to hug my knees if I lay on my back, after nerve flossing it doesn’t.

I’m still in pain though, especially after any activity, even very light activity. I am wondering what the next step is.



Small posterior central disc protrusion/herniation elevating the posterior longitudinal ligament indenting the anterior thecal sac. No central spinal canal stenosis. Patent intervertebral foramina, no intraforaminal neural compression. Trace fluid in the left L4-L5 facet joint, possibly reflecting synovitis. The posterior margin of the disc protrusion lies in close proximity to the right and left L5 nerve roots in the anterolateral aspects of the thecal sac/lateral recesses.


Small posterior central protrusion/herniation of L4-L5 disc, the posterior disc margin lying in close proximity to the right and left L5 nerve roots in the anterolateral aspects of the thecal sac.

Thanks for helping!

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  • I'm also having trouble with my lower back. My MRI says : At L4-5, there is a small zone of midline posterior disc heriation
    with mild impression on the underlying Sac.

    My spine Doctor told me this is good news!

    I was doing physical therapy at the time. I did 3 months total. I did Aqua-therapy and then Land Therapy. It all hurt like hell.

    My primary Doctor told me every movement I make it hits a nerve. I belive it.

    Iv'e also had Facet and Epidural Injections that didn't do jack. Only pissed it off ;-(
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